Abstract
Acute occlusion of the left main coronary artery frequently causes cardiogenic shock and, when this occurs with an initial TIMI 0 flow, has an extremely poor prognosis. The use of a bifurcation system has not been described previously in this situation but has advantages that may result in a simpler and quicker solution then other strategies. This case describes a distal LMCA occlusion, 2 weeks post-stenting of the proximal LAD and proximal Cx, where this strategy was successfully used as a bridge to surgery. Such a strategy may be crucially beneficial in this commonly fatal condition.
MeSH terms
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Angioplasty, Balloon, Coronary / adverse effects*
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Angioplasty, Balloon, Coronary / instrumentation
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Angioplasty, Balloon, Coronary / methods
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Cardiac Catheterization
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Catheterization / methods*
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Coronary Artery Bypass / adverse effects
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Coronary Artery Bypass / methods*
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Coronary Restenosis / diagnostic imaging
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Coronary Restenosis / etiology
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Coronary Restenosis / surgery*
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Coronary Thrombosis / diagnosis
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Coronary Thrombosis / diagnostic imaging
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Coronary Thrombosis / etiology
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Coronary Thrombosis / surgery*
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Coronary Vessels / physiopathology
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Electrocardiography
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Equipment Failure
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Fatal Outcome
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Humans
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Male
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Middle Aged
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Myocardial Infarction / complications
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Myocardial Infarction / diagnosis
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Myocardial Infarction / therapy
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Postoperative Complications
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Radiography
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Retreatment
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Risk Assessment
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Shock, Cardiogenic / diagnosis
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Shock, Cardiogenic / etiology
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Shock, Cardiogenic / therapy
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Stents / adverse effects*